03D2131976 CLIA NUMBER - CCHCI SEABHS CLINIC

Laboratory Demographics

  • CLIA Code: 03D2131976
  • Facility Name: CCHCI SEABHS CLINIC
  • Facility Address: 4755 CAMPUS DRIVE
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 459-3012
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DARLENE MELK
  • NPI Number: 1487175162
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2131976
LAB Type Federally Qualified Health Center
Facility Name CCHCI SEABHS CLINIC
Street 4755 CAMPUS DRIVE
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 459-3012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2023
Certificate Expiration Date 6/7/2025
Facility Type Federally Qualified Health Center
Lab Director DARLENE MELK

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This page was last updated on: 3/20/2025